Promoting Healthy Kids After School: Tips, Tools and Strategies. Wendy Wolfe, PhD Division of Nutritional Sciences Cornell University March 14, 2017

Transcription

1 Promoting Healthy Kids After School: Tips, Tools and Strategies Wendy Wolfe, PhD Division of Nutritional Sciences Cornell University March 14, 2017

2 Webinar Overview Nutrition issues of 9-12 year olds Behaviors to prevent childhood obesity Supporting healthy choices in after school Recommended guidelines Assessment tools how are you doing? Resources EFNEP, 4-H Curricula Games

3

4 Obesity Trends: Children and Teens

5 Nearly 1 in 3 children and teens in the U.S. are overweight or obese. Let s hear what that means and why it matters:

6 Health Implications for Children Type II Diabetes High cholesterol High blood pressure Adult obesity Poor self-esteem Sleep disorders Joint problems Asthma

7 Source: Afterschool Alliance Why the obesity?

8 2015 Dietary Guidelines Per Day (9-12 year olds): 2 cups fruit 2½ cups vegetables 3 cups fat free or low fat milk/ dairy At least half the grains as whole grains Fats: <35% of calories, no trans, little saturated (more fish, nuts, veg. oils) Choose foods/ beverages with little added sugars or sweeteners (<10% cal)

9 Dietary Contributors to Child Obesity Over-consumption of sweetened beverages (fruit drinks, not just soda) Excessive portion sizes High consumption of fast foods Skipping breakfast Lack of fruits, vegetables, fiber and dairy in diet Physical Activity Contributors Excessive TV viewing, videos, computer games Lack of physical activity (active play, PE, recess, walking to school)

10 Key Behaviors to Prevent Child Obesity Replace sweetened drinks with water and lowfat milk Eat more vegetables and fruits Eat more nutrient-rich and high-fiber foods and fewer high-fat and high-sugar foods Portion size: Eat only as much as needed to satisfy hunger Play actively 60 minutes a day Limit screen-time Role modeling: Promote healthy behaviors

11 A healthy weight is the weight you achieve when you have a healthy lifestyle

12 What Can You Do? OST providers are ideally positioned to help kids have healthier lifestyles Model healthy behaviors Make it easier to choose healthy! Offer healthy choices Limit unhealthy options Schedule time for active play Limit electronics Nutrition education OST = Out of School Time

13 Healthy Eating and Physical Activity Standards for Out-of- School Time To foster the best possible nutrition and physical activity outcomes for children in grades K-12 in OST programs Evidence-based Adopted by National AfterSchool Association, YMCA, Boys & Girls Club, etc. See

14 Every day: Serve Healthy Snacks Serve at least 1 vegetable or fruit fresh, frozen, canned or dried Serve water and unflavored 1% or nonfat milk Water at the table, not just via drinking fountain No sweetened beverages (soda, fruit drinks) Ideally no juice, or limit to one 8 oz serving/day Whole grains (crackers, bread) No fried foods or trans fats Healthy protein nuts, beans, lean meats

15 Healthy Eating Standards (cont) Food not used as reward or punishment Holidays & birthdays celebrated with healthy items Fundraisers emphasize healthful foods Staff eat with kids and do not consume soda or other unhealthy items in front of them Water is always accessible USDA Cooperative Extension nutritionists deliver high quality curriculum

16 Physical Activity Standards At least 30 min/day, outdoors when possible Moderate to vigorous activity at least half the time Active play time (structured or unstructured) that involves all attendees and includes all abilities Fun, non-competitive games, or tag games with way to get right back in the game Staff lead and participate in active games/activities Not withheld or used as punishment or reward No TV, movies; digital device time only for homework, and limited to less than 1 hour/day

17 YMCA Programs A Model Only healthy options at snacks and meals. Fruit and/or vegetable at all meals and snacks. Only milk and water as beverages. Family-style meals and snacks. Limits on screen time. Daily physical activity, mostly outdoors Staff model healthy food and beverage choices and active play.

18 Cornell Healthy After-School Environment (CHASE) Self-Assessment Tool Assess your program compared to recommended practices, for example Water available at all times? Daily physical activity? One page for each behavior goal, with short list of questions each with 4 levels, from most ideal to least ideal

19 CHASE Assessment: Example Questions Ideal How often is water served with snacks? Every day 3-4 days per week 1-2 days per week Never or Rarely How often are sugarsweetened drinks offered (e.g., soda, juice drinks)? Never or rarely Once a week or less 2-3 times a week Every day or most days How often is 100% juice offered? Less than once a week 1-2 days per week 3-4 days per week Every day

20 CHASE Assessment: Example Questions Ideal How often do you offer a vegetable or fruit that is new or unfamiliar to most children? About once a week 2-3 times a month About once a month Never or Rarely When grains such as bread, chips, cookies, or cereal are offered, how often are they whole grain? Most of the time About half the time Sometimes Never or Rarely Are staff members good role models for choosing healthy foods and drinks? Always Most of the time Sometimes Never or Rarely

21 CHASE Assessment: Example Questions Ideal How often are all children offered at least 30 minutes of active play time? Every day 3-4 days per week 1-2 days per week Never or Rarely Do staff members participate with children in active games whenever possible? Always Most of the time Sometimes Never or Rarely Is non-homework, nonactive screen time limited to 30 minutes per day or 2.5 hours per week? Always Most of the time Sometimes Never or Rarely

22 How get kids to be more active? National Institute on Out-of-School Time Tips for making activity easy and fun in after school settings 20 min staff training video Game ideas fun, non-competitive, low-cost 30 min Game Guide, how to lead games

23 CHFFF Active Game Video Clips Video clips for many games Under the Cone Scavenger Hunt iew.php?id=3282 SNAP iew.php?id=3285

24 How get kids to eat more veggies? Offer but don t force Offer several choices Involve kids in selecting offerings Nutrition curricula Involve kids in food preparation, cooking Gardening, indoor salad boxes And role model!!

25 Nutrition Education Can it help? Hands-on, interactive nutrition curricula can be effective in changing behaviors. Invite your Cornell Cooperative Extension nutrition and 4-H educators to come teach in your program! Food preparation or tasting and active games always included.

26 CHFFF

27 Research-based Choose Health: Food, Fun, and Fitness Experiential learning Interactive nutrition activities Built-in active games, food prep, goal setting Dialogue approach engages kids

28 CHFFF Lessons 1 Drink Low Fat Milk and Water instead of Sweetened Drinks 2 Color Your Plate! Eat More Vegetables and Fruits 3 Read it Before You Eat It! The Nutrition Facts Label 4 Make Half Your Grains Whole! Eat More Whole Grains 5 Healthier Foods Fast: Eat Fewer High-Fat, High Sugar Foods 6 Power Up Your Day: Eat Breakfast

29 Recipes One with electric, one without Kid-friendly, affordable Meet CCE standards: Vegetable or fruit Minimal added sugars Non-, low-, or reducedfat dairy 35% or fewer calories from fat; <5 grams fat per serving

30 Family Newsletters For each lesson Child s weekly goal Tips for families Nutrition topic Active play Both recipes, Nutrition Facts Labels

31 CHFFF Successes Try new healthy foods Read nutrition labels Make recipes at home

32 Cooking Up Fun! Vary Your Veggies

33 Recipe Book: Quick and Tasty Recipes for Healthy Youth

34 Do parents support these changes? More than 7 in 10 parents want afterschool programs to offer healthy meals, snacks or beverages. 8 in 10 parents want programs to provide opportunities for physical activity. Over 2/3 of parents say that having physical activity was very important in choosing their child s after-school program. Source: Afterschool Alliance

35 Successes After School Programs that have implemented the standards Many kids try new fruits and veggies Parents love that their children are getting and eating healthy food Kids ask for more of these foods at home In long-term, healthier after-schools could help prevent obesity and chronic disease, based on experience in child care centers. Source: 2014 YMCA 4-H Webinar

36 Thank you for the work you do to help children be healthier! Questions?